NPI | 1821464629 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0003615) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2015-08-15 |
Last Update Date | 2016-12-02 |